Active NPI
Kim A Abelson, MFT
- Marriage & Family Therapist
- Upper Lake, CA
National Provider Identifier
1861530677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFC 42971
- Practice address
- 9860 Middle Creek Rd
Upper Lake, CA 95485-9265 - Phone
- (707) 275-8166
- Fax
- (707) 275-8168
- NPI assigned
- Feb 2, 2007
- Last updated
- Feb 19, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC 42971 | CA | Primary |
Addresses
Primary practice location
9860 Middle Creek Rd
Upper Lake, CA 95485-9265
Mailing address
237 E Gobbi St
Ukiah, CA 95482-5551
Phone (707) 472-2922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC 42971 | CA | MD | Marriage & Family Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361232000000",
"number": "1861530677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "237 E GOBBI ST",
"city": "UKIAH",
"state": "CA",
"postal_code": "954825551",
"telephone_number": "707-472-2922",
"fax_number": "707-462-1381"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9860 MIDDLE CREEK RD",
"city": "UPPER LAKE",
"state": "CA",
"postal_code": "954859265",
"telephone_number": "707-275-8166",
"fax_number": "707-275-8168"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ABELSON",
"first_name": "KIM",
"middle_name": "A",
"credential": "MFT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-02-02",
"last_updated": "2013-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "CA",
"license": "MFC 42971",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Upper Lake, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.